Doctor Q&A

Hello docs! Im 28 and have some visual concerns about my breasts due to weight loss. I’m not sure which route is the best to go. My complaints: breasts look flat and deflated, nipple sits too low Im trying to avoid the fake boob look, I don’t want them large and balloon shaped. And im also trying to avoid having a large vertical scar on my breast, so a traditional breast lift isnt an option for me. Should i just get a small breast inplant to fill the void of volume? Will that add some volume to the top of my breast and lift my nipple a little bit and make them look less saggy? Or do you think implants are not enough and I’ll need some sort of lifting technique as well. Is there other lifting techniques that dont involve the vertical scar? What about the “internal mesh bra”. I see it advertised often but cant seem to find any reliable info on it. Could i just get the internal bra or should i get a small implant + the internal bra? Any advice is greatly appreciated. Thank you so much.

Hi everyone! I’d really appreciate some advice. My surgeon recommended 440–480cc Mentor Boost (extra high profile), but I’m still deciding between that and other options like Sientra (high profile or moderate plus), Motiva, or regular high profile implants. My starting point: mild sag and some spacing between my breasts. My goal: • fuller, round look • upper pole fullness • noticeable cleavage (even without a bra) • not too natural, but also not overly “ball” looking

Hello:) I am a mom of two currently and I am looking to have a breast augmentation without a lift. I understand and have realistic expectations for results but the reason I don’t want to do a lift yet is because I am not done having/breastfeeding kids. I am in my early twenties now and plan to have a complete mommy makeover when I am done having kids, which will presumably include a lift (10-15 years from now). My question is is this possible to do with my current anatomy, thank you very much in advance!

I‘m 33 yo and lost almost 50 kg last years and I‘m not pleased with how my body looks. I wanna start with my breasts which I want to look naturally full without a lift (I hate that scar). I‘d be grateful for your opinions.

I have tummy tuck and liposuction book to be done in 4 weeks

Hello 51 had 2 ce section wanna get lipo or tummy tuck

I am considering an abdominoplasty following significant weight loss and two pregnancies. Despite losing 72 pounds and maintaining a consistent workout routine (4–6 times per week), I continue to have excess abdominal skin that has not responded to exercise. My aesthetic goals are to achieve a flatter abdomen, a more defined waistline, and improvement of the lower abdominal “apron” area. During my consultation, the surgeon recommended an extended tummy tuck with liposuction of the flanks and possibly the upper abdomen. I would like clarification on whether this approach will also result in a smooth, flat contour in the upper abdomen, as I am concerned about avoiding a boxy appearance. My preference is a more contoured, hourglass shape. Additionally, I am interested in understanding whether a fleur-de-lis (FDL) abdominoplasty might provide improved contouring outcomes in my case, based on similar results I have seen. Could you please provide guidance on which procedure would best align with my goals?

I had a liver resection when I was 20. I’m now almost 28 and have lost over 100lbs, finished having babies and am looking into tummy tuck procedures. Does the existing scar tissue make for a more complicated tummy tuck? I am at a healthy BMI but I still feel like my stomach is very large. the photo shown is after microneedling my scar , that is why it was red in the picture. It does not normally look like that :)

Hi there, I'm a 53 yr old woman, 2 c sections 19 and 22 years ago and lost 84 lbs over the past 3 years. Stabilised for 9 months at 10 stone 12 and I'm 5foot 9 tall. I know i need a lot done, but initially looking at the tummy tuck and potential breast uplift and augmentation. I'm a bit nervous of the scarring from a FDL tuck but would a stabdard tuck be sufficient for my terrible stretch marks and overhang . Many thanks for any advice.

I'm 38, have had 5 pregnancies (1 c/s), and have lost about 100 lbs. This has resulted in significant skin sagging everywhere, and loss of volume in my butt. I'm 5'4" and about 120 lbs. I initially was thinking of getting a BBL, followed by a separate tummy tuck - the main reason being concerns about recovery (how to sleep when you can't lay on your tummy OR your butt?). It also seemed logical to me that you would want to have some fat in your abdomen to harvest for the BBL, so I was planning to do the BBL first. But when looking at patients with similar body types after significant weight loss, it seems like lower body lifts are being recommended. I'm fairly certain my butt is too saggy to "re-inflate" from BBL fat transfer alone, and that no matter what, some kind of traditional "lift" will be necessary for my butt, due to all the loose skin. Would I be a candidate for a lower body lift? Can a lower body lift be combined with BBL? The loss of butt volume is my priority concern (TT would be secondary), and it seems like a lift alone would help tighten up the skin, but would not help with butt volume. What procedure(s) might help give me the results I am looking for?

Hello. My question is should I do TT or BBL first. I’ve had a few consultations and I’m getting different answers from each provider. I’m being told that I don’t have much fat to work with so being suggested BBL first (so they can harvest the fat). Then others are telling me to do TT first, wait 6 months and then address the bbl. I’m conflicted because if I’m being told I don’t have a lot of fat, then if I do TT first, how would I have an optimal BBL surgery. Lookimg for some educated opinions as I really want to have optimal results with both surgeries being done separately. Thank you.

I’m 23 and weigh 110 pounds at 5’3 for height. Am I currently too skinny to get a bbl or if I could get one currently, would the results even be noticeable? Should I gain more weight?

Do I need a closed or open rhinoplasty to achieve the look on the right?

I (23F) am scheduled for a septoplasty/rhinoplasty + turbinate reduction in a month. I have a minor dorsal hump I would like reduced to be rather straight. I also would like a slight supratip break to mitigate a lengthened appearance and drooping of the tip. I have very thin skin which I know is a risk factor inverted V deformity. I really like how I look from straight on. I have a thin, straight dorsum and a nice tip. I don’t want to look much different from the front. My surgeon is a double board certified ENT and plastic surgeon. I want to keep my thin dorsum as much as possible, but instead he insists that osteotomies are only for large/moderate dorsal humps and he has instead proposed the use of spreader grafts. He has only one before and after photo on his website for rhinoplasty. The results are alright, not amazing, but I can’t make a fair judgement because the patient is just 10 weeks post-op and still has swelling. I’m wondering if I can trust him with this surgery? Will the results be aesthetically pleasing enough to go through with such an invasive, risky, and cosmetically uncertain procedure? I start medical school in a few months (I am also interested in facial plastics!) and I would like to breathe better, but I know that many surgeons harvest grafts from the septum. If it’s better to do both the septoplasty and rhinoplasty in tandem, should I just wait a few years being a bit uncomfortable with my breathing in order to find a different surgeon?

I have a big nose and very deep prominent nasolabial folds due to the structure of my face that are getting worse with age. My mid face almost looks sunken to me compared to the projection of my nose. Not sure if a rhinoplasty would help this or worsen it, any idea what could improve this area to make it more harmonious if not a nose job?

I have always wanted a nose job but do not want your typical ”ski slope” rhinoplasty. I feel that it would not match my proportions. Instead, I want to keep my natural ethnic style nose, just smaller and revised. I will attach a photo I did to “mimc” this look and need a professionals opinion if this is a common end result!

After having 3 kids via csection, I’m looking to get my body back I am willing to travel but need advice on which procedures I need. Do I need lipo 360 or will a tummy tuck and lipo of the flanks be enough to give me a good hourglass shape and flat abdomen? I know combining both theres a limit of removing much less fat. Also terrified of doing a bbl but want to avoid looking “rectangle” is avoiding one possible?

Hi — I’m 31, I’ve never smoked, I’m very physically active, and I don’t have any health conditions or allergies. I don’t have kids and I’m not planning to. I’m currently around a 30DD and I’m wondering if it’s possible to reduce down to a small B cup. My breasts have bothered me since I was about 15, and I’m considering a reduction mainly for comfort — especially for the gym and for how clothes fit. Is a breast reduction possible at my current size, and is that kind of size change realistic?

Could I still e a candidate for stomach lipo despite my stomach tattoos, or would they become extremely warped? I have a pouch of fat on my left side that doesn't go away with diet nd exercise, it makes my stomach appear uneven because the skin on right side of abdomen is stretched tight due to corrective surgery from gastroschesis as a baby. Currently 5 '2 110 pounds, pouch does not go away even at 89lbs.

I’m considering liposuction of my abdomen and flanks, but I’m currently quite lean and may naturally gain some weight over the next few years. Would the timing of the procedure (doing it at a lower vs slightly higher body weight) affect: - the number of fat cells reduced in the treated area, and - how that area responds to future weight gain? Specifically, if I have liposuction at a lower weight versus a slightly higher (like +3-5kg) weight, would that meaningfully change how much fat I might regain in the abdomen and flanks over time, or how my body redistributes fat overall?

I am a 35 F 157 lbs. I lost 100 lbs over 2 years ago and i got a tummy tuck in 2023. I love my stomach but now i have some areas i am insecure about. I want to know what woukd be the best procedure to fix these areas. The back fat, the dog ears that was left from the tummy tuck, the fat pocket on top of my buttocks and the lack of lower glutes. I would like to just have a normal buttocks because i am petite in height and my butt doesnt fit my frame.

Hi- I'm 5'2" 125pounds and my BWD measured a few times by me and my husband is 18cm. I made sure I did this nipple to nipple, using the right side of a flexible measuring tape. I am concerned that my BWD seems so much larger than other women's. My bra size is a 34AA. I would like to get motiva mini implants so that I can fill out a bra and be a full 34A size. Is this reasonable? Or will I need much larger implants because my chest is so wide? Thank you

I had a breast implant revision ans switched out my for 575 gummy implants. I notive that my implants move alot is this normal Im 7 months post op and feel like they move so much not my saline implants.

Hi I’m seriou considering A breast augmentation but I’m very worried to have a foreign body in my body. Will I trigger any autoimmune diseases? I don’t have a family history of autoimmune other than rheumatoid arthritis. Im worried about breast implant illness or cancers. What are your thoughts from your prior patients?

I had congenital symmastia prior to surgery (absolutely no separation, one boob). I am 5’5 and 125 lbs. I wore a 34c bra before surgery, though I could not fill it out and I had quite the gap. I met wit 3 doctors and decided to move forward with symmastia repair with liposuction and added a small implant. I wanted to maintain the same bra size, clothes and look like i got nothing done. I truly wanted petite breasts. I got Motiva 230 cc moderate profile implants, round smooth silk with the internal mesh Galaflex under the muscle —along with symmastia repair with liposuction. Since the surgery last year, I feel my implants look and feel so much bigger than I want. The cleavage seems very heavy and obnoxious. I’ve also had to size up in my clothes and tops (which I did NOT want). I feel like my breasts are just too big, which is the opposite of what I wanted. I truly thought I selected the right implant size and profile. I also feel there is less separation and I am worried the symmastia is back. My breasts are touching at the top. My questions: - did I select too large of an implant given my issues? I truly thought 230cc was on the small side. - would replacing and going smaller (150 cc) help? - can symmastia reoccur and did my tissues just grow back together? I am feeling so discouraged that they look so large and that they are so close together :(

Hi there I recently saw a surgeon regarding a lower blepharoplasty. He said I would be a good candidate but mentioned the procedure would involve dissolvable sutures along the orbital bone (just under the eye socket). I have anxiety and I hate the idea of a foreign object being left under my skin. I know it sounds ridiculous but it worries me. He said the sutures could take up 6 months for the suture knots to fully dissolve. He also said I could opt out of having the sutures along the lower eye socket but it means that area will look 'flat' and not as natural. Are there any other options to remove my eye bags which won't involve underskin sutures in that area? Thank you

I’m 44 years old and have heard mixed things regarding a brow lift vs upper blepharoplasty. I’m wondering which one will be more beneficial for me? Overall I’m looking to have my eyes look more open, a more defined crease and the hoods gone.

Hi, I’m a mid 30’s male, and I’ve had concern for my under eye area since I was a late teenager. I want the under eye area to stand out much less than it does from the rest of the face. To me, it looks a lot worse/darker in the mirror than in the photos under the same lighting. I had PRP for the eye area about a year ago and it made no difference to me. I had CO2 laser on the eye area 4 months ago and so far it doesn’t seem to have made much difference. Many years ago I tried a filler and I don’t remember exactly how much difference that made but I don’t think it put the issue to rest in my mind. (Maybe I went to a clinic that didn’t know how to use the filler for my unique situation, not sure.) When I see photos of before and afters for lower bleph, I’m amazed, because I’m not used to seeing much difference, even in before and after photos of eye creams that my dermatologist recommends. So I’m wondering if lower bleph or anything else would work for me. Thanks.

I had an upper blepharoplasty years ago and since then my eyes have looked very crepey and lax on the platform lid , my skin looks very wrinkly I’m only 31 and heartbroken about this. I can close my eyes but they feel tight but not skin wise it’s like the underlying structure is tight, I went to have a consultation And the dr told me my crease has been attached to the levator across the entire lid and told me I have no options to fix it. I believe someone can help and I’m not expecting my kids to look like they did prior but I’m sure some type of revision can fix.

I can’t decide if I need a lower bleph, a fat repositioning, a fat transfer, or just some simple filler, or a combination of those treatments. Bleph: I worry getting a bleph will only make my tear trough look worse since I’m removing volume in that area. I also worry that a bleph will make my eyes look very sunken and hollow. I personally like my eye bags and think they look plump and healthy. Filler: my injector says she would use a cannula and a very thin small amount of filler to smooth the transitional area. But of course, everyone SLAMS filler, especially in the eye area, so this makes me worry about migration or looks unnatural and even more puffy. Fat repositioning: this might be a good option, but I can’t find any before and after photos online that show me how it approved a deep tear trough. Fat transfer: I would consider this as well, but worry about my body absorbing the fat unevenly or just the unpredictability of fat. I don’t wanna pay a lot of money for something that has “we will see” results. I have had consultations with 2 surgeons for this and a nurse injector. All 3 suggest different things, OF COURSE. So it’s so confusing!! The first surgeon I saw was an eyeball surgeon, specializing in eyes and face. She suggested a fat repositioning surgery, but she is 4 states away and wanted 12 thousand dollars, and she didn’t have any before and after pictures of people who had this done that had a similar issue as me, so I didn’t pull the trigger. The second s

I am 56, 5'6 & 114lb. Very fit and I eat healthy. I feel very young on the inside and just want my outside to match! Am I good candidate for a facelift and how much would that cost?

F/40/125lbs/Active Questions on when to consider a facelift? I am starting to notice changes in my overall skin tightness (laxity of neck, mild jowling) and haven’t really progressed aesthetically past botox-looking to see when a facelift is warranted or what would help best for these concerns.